Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $19.50 / $21.38	Facility	26	$19.05	$19.50	$21.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $100.00 / $223.87	Professional		$74.13	$100.00	$223.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $22.39 / $42.66	Professional	26	$16.98	$22.39	$42.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $70.79 / $117.49	Professional	TC	$51.29	$70.79	$117.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.90 / $22.91 / $32.36	Facility	26	$4.90	$22.91	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $117.49 / $457.09	Professional		$72.44	$117.49	$457.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $28.18 / $93.33	Professional	26	$15.49	$28.18	$93.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $91.20 / $363.08	Professional	TC	$58.88	$91.20	$363.08
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $33.11 / $33.88	Professional	26	$32.36	$33.11	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $177.83	Professional		$63.10	$95.50	$177.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $23.99 / $42.66	Professional	26	$14.79	$23.99	$42.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $70.79 / $134.90	Professional	TC	$47.86	$70.79	$134.90